Dental Board of California
Licensing details for: 56596
Name: SANDERSON, VANESSA ANDRADE
License Type: Dentist
Primary Status: Current - Active
Previous Names: SAN DERSON, VANESSA ANDRADE
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: SANDERSON & ZARGARIAN DENTAL CORP.
License/Registration Type: Additional Office Permit
License Number: 81117 Primary Status: Current - Active
Address :
43731 15TH ST STE C
LANCASTER CA 93534
LOS ANGELES COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: SANDERSON & ZARGARIAN DENTAL CORP
License/Registration Type: Additional Office Permit
License Number: 81215 Primary Status: Expired
Address :
2014 WEST K AVE
LANCASTER CA 93536
LOS ANGELES COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: SMILE DENTAL GROUP, SANDERSON & ZARGARIAN DENTAL CORP
License/Registration Type: Fictitious Name Permit
License Number: 16825 Primary Status: Current - Active
Address :
43731 15TH STREET WEST STE C
LANCASTER CA 93534
LOS ANGELES COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: SMILE DENTAL GROUP OF SANDERSON & ZARGARIAN DENTAL CORP
License/Registration Type: Fictitious Name Permit
License Number: 16826 Primary Status: Current - Active
Address :
2014 WEST AVE K
LANCASTER CA 93536
LOS ANGELES COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: SANDERSON, VANESSA ANDRADE
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 2807 Primary Status: Cancelled
Address :
2014 W Ave K
LANCASTER CA 93536-5229
LOS ANGELES COUNTY
Registered Dental Hygienist Alternative Practice to Dentist
License/Registration Role: Dentist
Related Party Role: Registered Dental Hygienist Alternative Practice
Name: ORTIZ, MICHELLE RENE
License/Registration Type: Registered Dental Hygienist Alternative Practice
License Number: 1265 Primary Status: Current - Active
Address Not Disclosed
